J. Stephen Nekervis Jr., L.A.T.C, C.S.C.S

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

HA984 Issued in MA

Practice address

19 Davis Rd Apt C5
Acton, MA 01720-4729

Phone

(978) 877-0572

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407884166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 DAVIS RD APT C5",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017204729",
            "telephone_number": "978-877-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 DAVIS RD APT C5",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017204729",
            "telephone_number": "978-877-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEKERVIS",
        "first_name": "J. STEPHEN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "L.A.T.C, C.S.C.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MA",
            "license": "HA984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Joseph Musliner, MD
• Lillian Linda Nakiwala
• Laisla Nascimento
• Nashoba Speech and Feeding Therapy LLC
• Margaret Nazzaro
• Network Chiropractic of Acton PC
• New England Center for Mental Health LLC
• New Hope Acupuncture and Wellness LLC
• Cheryl Newey
• Robin Mieli Newman

• Athletic Trainer in Acton, MA
• Providers in Acton, MA by specialty
• Athletic Trainer in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.